Evidence map›Paper›PMID 23664987›Full record

Trial reportVaccine2013

Safety and immunogenicity of IMVAMUNE® smallpox vaccine using different strategies for a post event scenario.

Sharon E Frey, Patricia L Winokur, Robert A Salata, Samer S El-Kamary, Christine B Turley, Emmanuel B Walter, Christine Mhorag Hay, Frances K Newman, Heather R Hill, Ying Zhang and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00437021 (Evaluation of IMVAMUNE® Smallpox Vaccine With Respect to Safety and Optimization of Immune Responses by Different Vaccination Regimens in Vaccinia-Naïve Adults), which is not on this map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00437021 phase1 / phase2completednot on this map

Evaluation of IMVAMUNE® Smallpox Vaccine With Respect to Safety and Optimization of Immune Responses by Different Vaccination Regimens in Vaccinia-Naïve Adults

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2007 to 2009Enrolled226ConditionsSmallpoxArmsLive vaccinia virus vaccine, MVA Smallpox Vaccine, Placebo
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Predicting vaccine effectiveness for mpox.Nature communications · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Monkeypox Virus Infections in Humans.Clinical microbiology reviews · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sharon E FreyDivision of Infectious Diseases, Allergy & Immunology, Saint Louis University School of Medicine, St. Louis, MO 63104, USA. freyse@slu.edu
Patricia L Winokur
Robert A Salata
Samer S El-Kamary
Christine B Turley
Emmanuel B Walter
Christine Mhorag Hay
Frances K Newman
Heather R Hill
Ying Zhang
Paul Chaplin
Magdalena Tary-Lehmann
Robert B Belshe

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
UNIVERSITY OF IOWA CTSA FOR PEDIATRIC RESEARCHUL1RR024979 · NCRR · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2007 to 2011
$31.8M
B LYMPHOCYTE MIGRATION AND HOMEOSTASISR01AI040098 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jason G Cyster · 1997 to 2026
$7.0M
Beta Lymphocyte Migration and HomeostasisR37AI040098 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CYSTER, JASON G · 2002 to 2011
$3.2M
Immunomodulation of Sophorolipids in SepsisR43AI080001 · NIAID · BIOMEDICA MANAGEMENT CORPORATION · PI NOWAKOWSKI, MAJA · 2008 to 2008
$100k
EVALUATION OF CONTROL MEASURES AGAINST DISEASES OTHER THAN AIDS-266025459N01AI025459 · NIAID · CHILDREN'S HOSPITAL MEDICAL CE · PI BERNSTEIN, DAVID · 2002 to 2006
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Production and Testing of a MVA Vaccine-266040072N01AI040072 · NIAID · Bavarian Nordic A/S · 2005 to 2005
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EVALUATION OF CONTROL MEASURES AGAINST DISEASES OTHER THAN AIDS-266025464N01AI025464 · NIAID · SAINT LOUIS UNIVERSITY · PI CHAPLESKI, ELIZABETH · 2003 to 2006
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NCRR NIH HHS UL1 RR024128NCRR NIH HHS UL1RR024128NCRR NIH HHS UL1 RR024979NCRR NIH HHS UL1RR024979NIAID NIH HHS HHSN272200800003CNIAID NIH HHS HHSN272200800008CNIAID NIH HHS HHSN272200800013CNIAID NIH HHS HHSN272200800057CNIAID NIH HHS N01 AI025459NIAID NIH HHS N01 AI025464NIAID NIH HHS N01 AI040072NIAID NIH HHS N01 AI040098NIAID NIH HHS N01-AI-252160NIAID NIH HHS N01-AI-25464NIAID NIH HHS N01-AI-400948NIAID NIH HHS N01-AI-80008NIAID NIH HHS R43 AI080001
6 · The paper itself

Abstract

introductionReintroduction of Variola major as an agent of bioterrorism remains a concern. A shortened dosing schedule of Bavarian Nordic's (BN) IMVAMUNE(®) (modified vaccinia Ankara vaccine against smallpox) was compared to the currently recommended 0- and 28-day schedule for non-inferiority by evaluating the magnitude and kinetics of the immune responses.

methodsSubjects were assigned to receive IMVAMUNE or placebo administered subcutaneously on Days 0 and 7, Days 0 and 28, or Day 0. Blood was collected for antibody and cell-mediated immune assays. Subjects were followed for safety for 12 months after last vaccination.

resultsThe primary endpoint of this study was the geometric mean antibody titers (GMT) at 14 days post last vaccination. Of 208 subjects enrolled, 191 received vaccine (Group: 0+7, Group: 0+28 and Group: 0) and 17 received placebo. Moderate/severe systemic reactogenicity after any vaccination were reported by 31.1%, 25.4%, and 28.6% of the subjects for Group: 0+7, Group: 0+28, and Group: 0, respectively (Chi-square test, P=0.77). Based on BN's Plaque Reduction Assay GMTs, Group: 0+7 was non-inferior to Group: 0+28 at Day 4, 180, and 365 after the second vaccination. On Day 14, Group: 0+7 and Group: 0+28 GMT were 10.8 (CI: 9.0, 12.9) and 30.2 (CI: 22.1, 41.1), respectively. Based on BN's Enzyme-linked immunosorbent assay, the proportion of subjects with positive titers for Group: 0+28 was significantly greater than that for Group: 0+7 after second vaccination at Days 4 and 180. By Day 14 after the second dose, the IFN-γ enzyme-linked immunosorbent spot (ELISPOT) responses were similar for Group: 0+28 and Group: 0+7.

conclusionOverall, a standard dose of IMVAMUNE (0.5 mL of 1 x 10(8) TCID/mL) administered subcutaneously was safe and well tolerated. A second dose of IMVAMUNE at Day 28 compared to Day 7 provided greater antibody responses and the maximal number of responders. By Day 14 after the second dose, IFN-γ ELISPOT responses were similar for Group: 0+28 and Group: 0+7.

Indexed as

BioterrorismAdolescentAdultAntibodies, NeutralizingAntibodies, ViralAntibody FormationEnzyme-Linked Immunosorbent AssayFemaleHumansImmunity, CellularMaleSmallpoxSmallpox VaccineVaccinationVaccines, AttenuatedVariola virusAntibodies, NeutralizingAntibodies, Viralsmallpox and monkeypox vaccine modified vaccinia ankara-bavarian nordicSmallpox VaccineVaccines, Attenuated

Identifiers

PMID23664987
PMCPMC3755481

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.